RELIGIOSITY, DEATH EXPOSURE, AND HEALTH LITERACY AS PREDICTORS FOR ATTITUDES TOWARD MEDICAL AID IN DYING (MAID)

Abstract Only legal in ten states (Death with Dignity, 2023), Medical aid in dying (MAID) is the current term for requesting lethal medication through a physician to end one’s life. Research has explored individuals’ characteristics who request MAID and whether they complete the prescribed medication process (Ganzini et al., 2009). However, little research explores relations between health literacy, religiosity, and individuals’ attitudes toward MAID. We hypothesized that participants with high health literacy and greater death exposure would hold greater support for MAID, while greater religiosity would be associated with lower support. Having implemented attention checks, participants (N = 265) completed measures via MTurk, assessing for health literacy, religiosity, death exposure, and attitudes toward MAID. Ages ranged from 19 to 83 (M = 37.81, SD = 12.55), with 17.7% of the sample over the age of 50. The majority were self-reported female (62.6%), non-Hispanic white (79.6%), and indicated adequate functional health literacy (82.6%). Significant correlations were observed between religiosity, attitudes toward MAID, and MAID support. Although there was no direct effect on MAID support, health literacy and death exposure remained in the path model to ensure adequate model fit. The results of this study help us understand the effect of individuals’ experiences and their attitudes toward MAID, indicating the importance of tailoring health literacy towards supporting autonomous choices in end-of-life care.

via video conference and telephone.We analyzed the data using open coding strategies and principles of thematic analysis.Themes included the importance of the timing of discharge planning, communication between all systems and individuals included in the discharge process, a lack of clarity regarding the roles in the process, inconsistent identification of the family caregiver, conflicting priorities, and the impact of medication errors.Implications are (1) each organization within the older adult/family caregiver system must determine their role in the post discharge process including the type of services and resources that support older adults and family caregivers and (2) the current system of healthcare, public sector, and community must determine how to adapt and change to support older adults and their family caregivers during the post-discharge period.

LEISURE ACTIVITIES, LIFE SATISFACTION, HAPPINESS, AND HEALTH PERCEPTION OF OLDER KOREAN IMMIGRANTS
Juwon Lee 1 , Yongseop Kim 2 , Jaehyun Kim 3 , and Junhyoung Kim 2 , 1. Henry M Gunn High School,Palo Alto,California,United States,2. Indiana University,Bloomington,Indiana,United States,3. East Carolina University,Greenville,North Carolina,United States The number of Korean immigrants in the United States has been increasing rapidly, with many facing psychological challenges due to cultural differences, limited resources, and language barriers.These challenges can lead to increased stress, which negatively affects mental health.However, research has shown that leisure activities can have positive effects on health outcomes, particularly for older adults.This study aimed to investigate the relationships among leisure activities, life satisfaction, happiness, and health perception in older Korean immigrants.Convenient sampling was used to recruit 51 Korean adults aged 50-85 from community centers and churches.Results showed that participation in leisure time physical activity (LTPA) predicted life satisfaction and happiness, with outdoor physical activity being positively associated with psychological well-being.Furthermore, education was significantly related to life satisfaction and health perception among those who engaged in LTPA.The findings suggest that LTPA may be linked to higher levels of happiness, life satisfaction, and health perception in older Korean immigrants.Therefore, offering recreational programs for Korean adults in the United States could potentially improve their overall well-being.By providing opportunities for older Korean immigrants to engage in leisure activities, such as outdoor physical activity, their mental and physical health may be positively impacted.These findings contribute to the growing body of research on the importance of leisure activities for older adults' well-being and highlight the potential benefits of providing recreational programs for minority populations.
Only legal in ten states (Death with Dignity, 2023), Medical aid in dying (MAID) is the current term for requesting lethal medication through a physician to end one's life.Research has explored individuals' characteristics who request MAID and whether they complete the prescribed medication process (Ganzini et al., 2009).However, little research explores relations between health literacy, religiosity, and individuals' attitudes toward MAID.We hypothesized that participants with high health literacy and greater death exposure would hold greater support for MAID, while greater religiosity would be associated with lower support.Having implemented attention checks, participants (N = 265) completed measures via MTurk, assessing for health literacy, religiosity, death exposure, and attitudes toward MAID.Ages ranged from 19 to 83 (M = 37.81, SD = 12.55), with 17.7% of the sample over the age of 50.The majority were self-reported female (62.6%), non-Hispanic white (79.6%), and indicated adequate functional health literacy (82.6%).Significant correlations were observed between religiosity, attitudes toward MAID, and MAID support.Although there was no direct effect on MAID support, health literacy and death exposure remained in the path model to ensure adequate model fit.The results of this study help us understand the effect of individuals' experiences and their attitudes toward MAID, indicating the importance of tailoring health literacy towards supporting autonomous choices in end-of-life care.Introduction: The Alternative Model of Personality Disorders (AMPD) is a dimensional model of personality disorder pathology focusing on pathological personality traits, with five trait domains.Limited knowledge exists about relationships between cumulative exposure to traumatic events and the AMPD, a gap particularly relevant for older adults who have had a lifetime of potential exposure.Method: Older adults (n = 200) completed the Trauma Health Questionnaire (THQ) and Personality Inventory for DSM-5 (PID-5).Results: Multivariate analysis of covariance (MANCOVA) revealed significant differences in the five PID-5 domains across four levels of cumulative trauma exposure (Pillai's Trace =.14, F(5, 519) =1.73, p =.04, ηp2=.05).Years since first traumatic event was not significant as a covariate (Pillai's Trace =.02, F(4, 173) =0.80, p =.55, ηp2=.02).Significant group differences were found in the PID-5's Psychoticism (F(3, 175) = 5.71, p < .001,ηp2 = .09)and Detachment (F(3, 175) = 2.91, p = .03,ηp2 = .05).According to Bonferroni post-hoc tests, the high trauma exposure group was significantly higher in Psychoticism than low trauma exposure, low to medium trauma exposure, and medium to high trauma exposure groups.For Detachment, the high trauma exposure group was significantly higher than the low trauma exposure and low to medium exposure groups.Discussion: Findings suggest that cumulative trauma exposure is associated with specific pathological personality traits in older adults.High levels of trauma exposure may be particularly related to eccentric and detached traits that persist in later life, reflecting the need for clinical assessment in both domains.

THE IMPACT OF GROUP-LED YOGA AND MINDFULNESS ON MENTAL AND PHYSICAL HEALTH IN SOUTH ASIAN WOMEN
Rozmin Jiwani 1 , Mishel Malik 1 , Sara Mithani 1 , Sara Espinoza 2 , and Monica Serra 1 , 1. UT Health San Antonio,San Antonio,Texas,United States,Los Angeles,California,United States One in five South Asians (people from India, Pakistan, and Bangladesh) living in the U.S. report experiencing a mental illness, with women reporting a three-fold greater risk of distress than men.South Asian women commonly interpret mental health symptoms as physical illnesses and resist seeking medical help.Yoga is a multifaceted, effective practice promoting well-being by integrating mind and body.This study aims to determine the feasibility and impact of a 12-week (Jan-April 2023) yoga and mindfulness intervention on mental and physical health outcomes in South Asian women.Thirty community-dwelling South Asian immigrant women, age ≥45 years were recruited to complete weekly 90-minute sessions of Ashtanga yoga including meditation and mindfulness practice.We are currently reporting baseline and 6-week data of mindfulness and physical activity self-reported questionnaires as the intervention is ongoing, but 12-week data will be available for the final presentation.At baseline, participants were 53±6 years old and a majority (80%) were overweight/obese with BMI ≥25kg/ m2.At 6 weeks, twenty-eight (93%) participants continued with the study and twenty-five (83%) attended ≥4 of the 6 sessions.By 6 weeks, participants' scores improved on Five Facet Mindfulness by 17% (p< 0.001) and Godin Leisure-Time Exercise by 15% (p>0.05) from baseline.These results suggest the preliminary feasibility, retention, and potential impact of the intervention on mental health outcomes in this population.Future directions include developing a large-scale, randomized lifestyle intervention trial to delay/ manage mental health outcomes in South Asian women of all ages.

THE ROLE OF HEALTH LITERACY IN HEALTH CARE UTILIZATION AMONG TAIWANESE OLDER ADULTS
Zih-Yong Liao, Pei-Chun Liao, and Fang-Lin Kuo, National Health Research Institutes, Yunlin, Yunlin, Taiwan (Republic of China) Health literacy is one of important capabilities links to health-related behaviours.The extant study provides limited information about the healthcare access of older adults.This study investigated factors determining the healthcare utilisation of 2423 community-dwelling older adults from the Taiwan Longitudinal Study on Ageing between 2011 and 2015.We used linear mixed-effects regression models and cumulative logit models to examine whether personal characteristics are associated with healthcare utilisation.A significant association was found between the level of difficulties in health literacy and healthcare utilisation after controlling for age, comorbidity, depression, mobility and accessibilities.The higher the older adults scored in the difficulty of health